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Colegio de Medicina Interna de México.

2018, Number 3

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Med Int Mex 2018; 34 (3)

Assessment of dysphagia in neurological disease patients and its relation to risk factor for malnutrition

Pérez-Cruz E, González-Muñoz A, Barrientos-Jiménez M, Camacho-Guerra CD, Tapia-Gómez Y, Torres-González KO, Uribe-Quiroz G

Language: Spanish
References: 15
Page: 359-365
PDF size: 364.16 Kb.


ABSTRACT

Background: Neurological diseases patients are susceptible to dysphagia, frequently not diagnosed.
Objective: To determine the presence of dysphagia in patients attending for neurological pathology of extern consult and its relation with malnutrition.
Material and Method: A prospective, cross-sectional study, performed from January to December 2016, that evaluated dysphagia symptoms, clinically phases of swallowing, and EAT-10 questionnaire validated to Spanish was applied. Risk factors were determined, as well as nutritional risk, Quetelet Index, Global Subjective Assessment, and demographics data.
Results: Of the 55 patients, 54.5% were women; mean age was of 47.29 years. The prevalence of dysphagia was 49.1%; patients with risk malnutrition represented 25.5%. Dysphagia patients accounted for 33.3% and had a higher risk of malnutrition vs 17.9% without dysphagia (p ‹ 0.001). The risk of dysphagia increased in women (OR 1.23, 95% CI 0.42-3.58, p = 0.45), diabetes mellitus (OR 2.95, 95 % CI 0.52-16.75, p = 0.19), patients with history of pneumonia (OR 2.12, 95% CI 1.59-2.81; p = 0.236) and chronic neurological disease (OR 1.65, 95% CI 0.49-5.53, p = 0.30).
Conclusions: There is high prevalence of undiagnosed dysphagia and it’s associated with greater risk of malnutrition.


REFERENCES

  1. Affoo RH, Foley N, Rosenbek J, Kevin Shoemaker J, Martin RE. Swallowing dysfunction and autonomic nervous system dysfunction in Alzheimer's disease: a scoping review of the evidence. J Am Geriatr Soc 2013;61(12):2203-2213.

  2. Leder SB, Novella S, Patwa H. Use of fiberoptic endoscopic evaluation of swallowing (FEES) in patients with amyotrophic lateral sclerosis. Dysphagia 2004;19(3):177-181.

  3. Deane KHO, Whurr R, Clarke CE, Playford, E. D., & Ben- Shlomo, Y. Tratamientos no farmacológicos para la disfagia en la enfermedad de Parkinson (revisión Cochrane traducida). 2005.

  4. Terre-Boliart R, Orient-Lopez F, Guevara-Espinosa D, Ramon-Rona S, Bernabeu-Guitart M & Clave-Civit P. Oropharyngeal dysphagia in patients with multiple sclerosis. Revista de neurologia 2004;39(8):707-710.

  5. Kikawada M, Iwamoto T, & Takasaki M. Aspiration and infection in the elderly: epidemiology, diagnosis and management. Drugs Aging 2005;22(2):115-131.

  6. FOOD Trial Collaboration. Effect of timing and method of enteral tube feeding for dysphagic stroke patients (FOOD): a multicentre randomised controlled trial. Lancet 2005;365(9461):764-772.

  7. Takizawa C, Gemmell E, Kenworthy J, Speyer R. A systematic review of the prevalence of oropharyngeal dysphagia in stroke, Parkinson's disease, Alzheimer’s disease, head injury, and pneumonia. Dysphagia 2016;31(3):434.

  8. García-Peris P, Velasco C, & Frías Soriano L. Papel del equipo nutricional en el abordaje de la disfagia. Nutrición Hospitalaria 2014;29.

  9. Burgos R, Sarto B, Segurola H, Romagosa A, Puiggrós C, Vázquez C, Pérez-Portabella C. Traducción y validación de la versión en español de la escala EAT-10 (Eating Assessment Tool-10) para el despistaje de la disfagia. Nutrición Hospitalaria 2012;27(6):2048-2054.

  10. Foley N, Teasell R, Salter K, Kruger E, Martino R. Dysphagia treatment post stroke: a systematic review of randomised controlled trials. Age Ageing 2008;37(3):258-264.

  11. Cámpora H, Falduti A. Evaluación y tratamiento de las alteraciones de la deglución. Revista Americana de Medicina Respiratoria 2012;12(3):98-107.

  12. Bray BD, Smith CJ, Cloud GC, Enderby P, James M, Paley L, Rudd AG. The association between delays in screening for and assessing dysphagia after acute stroke, and the risk of stroke-associated pneumonia. J Neurol Neurosurg Psychiatry 2017;88(1):25-30.

  13. Cabre M, Serra-Prat M, Palomera E, Almirall J, Pallares R, Clavé P. Prevalence and prognostic implications of dysphagia in elderly patients with pneumonia. Age Ageing 2010;39(1):39-45.

  14. Tau JA, Santana LFA. Esophageal disease in diabetes mellitus. In: Managing Gastrointestinal Complications of Diabetes. Springer, 2017;15-24.

  15. Keusch G. The history of nutrition: malnutrition, infection and immunity. J Nutr 2003;133(1):336S-340S.




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